Fairbrother, Genevieve L
Fairbrother, Genevieve L is an individual health care provider with primary practice located at 3890 Johns Creek Pkwy Suite 300, Suwanee GA 30024-1284. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Fairbrother, Genevieve L can be contacted via phone (678) 775-2300.Contact Information
Primary practice address
3890 Johns Creek Pkwy Suite 300
Suwanee GA 30024-1284
Phone: (678) 775-2300
Fax: (678) 775-2359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 037531 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 037531 | Georgia |
Profile Details
| NPI number | 1760445712 |
|---|---|
| LBN Legal business name | Fairbrother, Genevieve L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Aug 8th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760445712 | NPPES |
| Georgia | MEDICAID | 000720486K | |
| Georgia | MEDICAID | 000720486L | |
| Georgia | MEDICAID | 000720486J | |
| Georgia | MEDICAID | 000720486M |
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